Journal Article Prone-Position Thoracoscopic Ligation of the Thoracic Duct for Chyle Leak Following Radical Neck Dissection in a Patient with a Right Aortic Arch

Shirakawa, Yasuhiro  ,  Noma, Kazuhiro  ,  Ohara, Toshiaki  ,  Kashima, Hajime  ,  Maeda, Naoaki  ,  Tanabe, Shunsuke  ,  Kagawa, Shunsuke  ,  Fujiwara, Toshiyoshi

69 ( 3 )  , pp.173 - 176 , 2015-06 , Okayama University Medical School
A chyle leak can occur as a complication after neck or chest surgery. Such a leak prolongs the hospital stay and is sometimes life-threatening. The treatment options are conservative management, interventional radiologic embolization, and surgery. Thoracoscopic ligation of the thoracic duct has emerged as a promising and definitive treatment. The case of a 65-year-old Japanese male patient with a rare congenital right aortic arch (typeⅢB1 of Edwardʼs classification) and a severe chyle leak that occurred after a total pharyngolaryngo-esophagectomy (TPLE) is described. The chyle leak was successfully managed by thoracoscopic ligation of the thoracic duct via a left-side approach with the patient in the prone position.

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